| NPI | 1881764173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY DAVID SMITH Dentist And Owner 305-477-7601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN11702) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN13223) |
| 122300000X Dentist (Licence: FL DN14811) | |
| 122300000X Dentist (Licence: FL DN 14900) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2009-07-13 |